Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
COTENNA D. CLARK
Active Sole ProprietorCOTENNA D. CLARK is a Gerontological Nurse Practitioner healthcare provider located in ATLANTA, Georgia. NPI 1801401112 is currently active in the NPPES registry. Verify at CMS.
Gerontological Nurse Practitioner · ATLANTA, GA
Registration Details
- NPI Number
- 1801401112
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 14, 2020 (5.8707595878169 yrs)
- Last Updated
- Dec 11, 2025
- Licenses
-
RN231376 (GA)RN231376 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
57 EXECUTIVE PARK SOUTH NEATLANTA, GA, 303292288Browse GA providers · Browse ZIP 30329
- Phone
- 4047126929
- Fax
- 4047120278
- Primary Specialty
-
Gerontological Nurse Practitioner
363LG0600X
- Additional Specialty
- Adult Health Nurse Practitioner
Other Gerontological Nurse Practitioner Providers in ATLANTA, GA
| Name | Credential | NPI |
|---|---|---|
| MITZI LEWIS | GNP | 1225141732 |
| MS. HOLLY LYNNE BROWN | NP | 1821106733 |
| AMY D IMES | APRN, BC | 1710036686 |
| MRS. LINDA FAYE WALKER | APRN,BC,GNP | 1467503409 |
| CAROLYN KAY CLEVENGER | N.P. | 1255547907 |
| MS. TAMARA LEONIE GROHER | APRN, GNP-BC | 1467626036 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.